Mr. Alonso , a 45-year-old man, is being seen for fatigue and muscle weakness.

Jamila is a 10-year-old girl being seen for short stature and reduced weight gain.

Difficulty breathing and feeling hot

Difficulty urinating

Being seen for evaluation of numbness in feet and legs

Presents with abdominal pain

Evaluation of fatigue

Amenorrhea and dyspareunia

Presents to ED with fatigue, nausea, muscle aches

Complaining of worsening acne and facial hair

Irregular menstrual periods